Medical Forum / Diseases and Disorders / Cancer / February 2005
Colon Cancer Question
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FrankC - 04 Feb 2005 11:36 GMT Hello, I was diagnosed with colon cancer on the 10th January. I had an MRI on the 20th January a colonoscopy on the 24th January and an ultrasound on the 25th January. On the 31st I was told by the surgeon that, thank God ,it had not spread and that it was small but because it was low near the anus I would need a permanent colostomy. She has now referred me to an oncologist for radiotherapy and possibly chemotherapy which she said would be for six weeks but I have been told by his secretary that I won't see him until possibly the 17th or 24th of Feb.It seems a long time to wait before starting treatment and then apparently I have to wait another six weeks after the radiotherapy before the operation. Has anyone else in the UK had any experience of this? Any help would be much appreciated Frank
Dawn Morley - 04 Feb 2005 12:06 GMT > Hello, I was diagnosed with colon cancer on the 10th January. I had an MRI > on the 20th January a colonoscopy on the 24th January and an ultrasound on [quoted text clipped - 10 lines] > any experience of this? > Any help would be much appreciated Frank My Dad also had colon cancer and yes, he waited quite a while before they started any sort of treatment. I hope everything goes well for you.
Simm Webb - 04 Feb 2005 13:29 GMT >Hello, I was diagnosed with colon cancer on the 10th January. I had an MRI >on the 20th January a colonoscopy on the 24th January and an ultrasound on [quoted text clipped - 9 lines] >Any help would be much appreciated Frank > My wife was beginning to pass blood, and went to the hospital to have it checked. They examined her and found polyps which they were able to remove, but they recommended a barium enema and discovered a pair of tumors about the size of golf balls. The next day we visited a surgeon who read her xrays, and declared that the very next day she should be taken into the surgery wing of the Cleveland Clinic, and have the surgery performed immediately. My wife asked for a 3 day reprieve so that she could celebrate her birthday. The doctor was emphaticly against this. The next day the operation was performed, and 4 hours later, the doctor came to me and announced that she had removed about 12 inches of transverse colon, and upon examination, the cancer had not penetrated the colon wall. There was absolutely NO need for further treatment. I would double check with another doctor with this, unless the cancer is a type of cancer which is very slow growing, and poses no risk. My wife had absolutely no further problems with cancer for the rest of her life.
 Signature Finished my cancer, Finished my heart problems, Grateful to be back.
Eddie MD OTF
FrankC - 04 Feb 2005 14:06 GMT Thanks for the response I am getting a second opinion on the 16th of this month.
J - 04 Feb 2005 15:43 GMT > My wife was beginning to pass blood, and went to the hospital to have it > checked. They examined her and found polyps which they were able to [quoted text clipped - 9 lines] > penetrated the colon wall. There was absolutely NO need for further > treatment. Well, the transverse colon is higher up where they can't do radiation therapy first and since it hadn't broken through the wall, surgery was all that was required. Dad only had surgeries.
Rectal cancer is in the final 6 inches of the digestive tract near the anus, so his treatment will (probably) closely match Elsie's There's a diagram here http://cancernetwork.com/myths/colon/Col02.htm J
Joe-46er - 05 Feb 2005 03:01 GMT Wow! I wish my doc had me in surgery right after diagnosis. I had to wait several weeks. Turned out to be stage 4. Ever since that time I've wondered if my tumor had been removed immediately, whether I would be stage 3. You've got a good doc.
>> My wife was beginning to pass blood, and went to the hospital to have it >> checked. They examined her and found polyps which they were able to [quoted text clipped - 18 lines] >There's a diagram here http://cancernetwork.com/myths/colon/Col02.htm >J _________________________________
"Take a little 5FU, leucovorin and oxaliplatin for thy stomach's sake." -- 1 Timothy 5:23 (adapted)
J - 05 Feb 2005 08:41 GMT > Wow! I wish my doc had me in surgery right after diagnosis. I had to > wait several weeks. Turned out to be stage 4. Ever since that time > I've wondered if my tumor had been removed immediately, whether I > would be stage 3. You've got a good doc. Very fortunate that she had the barium enema (and rushed surgery), since the liver sits right on top of the transverse colon (where her tumours were) J
> <snip> > >There's a diagram here http://cancernetwork.com/myths/colon/Col02.htm Alf - 04 Feb 2005 15:22 GMT Hi Frank
I was diagnosed colon cancer (Swansea) in Jan '03, with mets in liver. Had transverse section of colon removed in March '03. When I commented on the delay, surgeon said "No hurry" :c/ I'm now "in the clear" :)
Of course, every case is different, and talking to other people with the same problem as yourself you sometimes wonder why they were treated differently.
Hope things turn out OK.
Alf
J - 04 Feb 2005 16:04 GMT > Hello, I was diagnosed with colon cancer on the 10th January. I had an MRI > on the 20th January a colonoscopy on the 24th January and an ultrasound on [quoted text clipped - 7 lines] > after the radiotherapy before the operation. Has anyone else in the UK had > any experience of this? Sounds about right, Frank. A few weeks won't make a difference, though I recognize the wait is difficult for the patient. I expect that they would put a rush on it, if the tumour was found to be larger. Elsie had pre-operative chemo and radiation and a temporary iliostomy. (stoma I think)
It's good you're getting a second opinion Frank, but please don't get into the grasps of some doctors there who propose experimental (new) therapies. We've just seen that with a prostate cancer patient. He tried to shortcut the process and avoid surgery and radiation therapy. Now he's upset that he has to pay for the "treatment" and it's not even proven, so it's hard to say if he'll get a recurrence and have to go back and do the "tried and true". (waste of time and money IMO)
The tried and true should closely match what's written here http://www.cancerhelp.org.uk/help/default.asp?page=2934
Steph's sometimes here. He trained and worked in UK and is now in Canada, so he can often answer treatment questions. (standards for both countries).
Stay with us, if it helps. Or if you're still working, that might help take your mind off things while you're waitng, but do let us know how it goes.
Best wishes and keep in touch. J
FrankC - 04 Feb 2005 16:53 GMT >Thanks for the good wishes J.My second opinion is from a Professor of Surgery at the Pelican Foundation where they specialise in surgery for this cancer ,and is more about the type of operation I can have.I'm clinging to the slim chance that I may be able to avoid a permanent stoma. Frank
J - 04 Feb 2005 17:31 GMT > >Thanks for the good wishes J.My second opinion is from a Professor of > Surgery at the Pelican Foundation where they specialise in surgery for this > cancer ,and is more about the type of operation I can have.I'm clinging to > the slim chance that I may be able to avoid a permanent stoma. > Frank Hello Frank, A second surgical opinion sounds like a good idea to me. Take someone with you to write what the surgeon says down or a tape recorder, if allowed. That way you can concentrate on what (s)he says and your questions.
One of mine might be, "how might what you are telling me change after radiation therapy"? Another: "how long after radiation therapy can the surgery be done?" (just so you know how long a wait for the surgery and planning your work and/or recreational activities around that time). More: "if they give me a late date for surgery, may I call your office and see if it can speeded up?" "which scans will you require after the radiation therapy?" "how can I make sure they get (the results) to you in a timely fashion for our next appointment?" "may I see you again after I hear the plan from the radiation therapist?" etc, etc.
I hope you won't have to have a stoma either. Hard for any of us to know. Dad had to have "a bag". It was many years ago (and he lived far away so I don't have the details), he blocked up, they did some procedure/surgery to remove cancer. He blocked up again a year or so later and he had his colon totally removed.
Dad was partially paralyzed and lived alone, he coped quite well with the bag. I would choose inconvenience over survival. He did and died of other causes many years later.
I also want to caution you not to get caught up in "altie lore". A Canadian, in your situation did. He died, as I recall, just before Christmas. He too was a "reluctant stoma" person, so chose the path of least resistance and believed their claims. (there are kook claims on the 'net, sometimes posted here, and in UK.) Please try to avoid believing their claims. Please don't delay, go with what your experts advise. Please. J
FrankC - 04 Feb 2005 18:52 GMT >Thanks for the advice J.I intend to go with the expert advice.The only thing Im doing apart from this is juicing vegetables and taking vitamin supplements to try and strenghten my immune system Frank
J - 05 Feb 2005 08:39 GMT > Thanks for the advice J.I intend to go with the expert advice.The only > thing Im doing apart from this is juicing vegetables and taking vitamin > supplements to try and strenghten my immune system > Frank Hello Frank, fresh veggie juice sounds good. do you put tomatoes in? For some reason, lycopenes rings a bell. I see them talk about it on the prostate cancer newsgroup, although one said he was a tomato addict but still got prostate cancer, so if it's supposed to a preventative, apparently it didn't work.
Whatever you take, Frank, make sure your treating doctors know. Some can interefere with treatments, I seem to recall Steph saying. all my best, keep in touch, J
Steph - 06 Feb 2005 04:24 GMT > Hello, I was diagnosed with colon cancer on the 10th January. I had an MRI > on the 20th January a colonoscopy on the 24th January and an ultrasound on [quoted text clipped - 10 lines] > any experience of this? > Any help would be much appreciated Frank The wait of 6 weeks is irrelevant, so don't worry about it. You should ask if transrectal excision and radiotherapy is an option. We do that for suitable patients here in BC, and the results are very good
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